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History of medical practice in Illinois - Bushnell Historical Society

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330 <strong>History</strong> <strong>of</strong> Medical Practice <strong>in</strong> Ill<strong>in</strong>oisi860One <strong>of</strong> the pioneers who early performed plastic operations <strong>in</strong> Ill<strong>in</strong>oiswas Dr. Daniel Bra<strong>in</strong>ard. He was a general surgeon, there be<strong>in</strong>g no plasticsurgeons at that time. His experiences <strong>in</strong> this field were noted <strong>in</strong> a paperentitled "Immobility <strong>of</strong> the Lower Jaw," treated by means <strong>of</strong> <strong>in</strong>cis<strong>in</strong>gcicatrix bands and the use <strong>of</strong> specially devised <strong>in</strong>struments to separate thejaws.There were also brief reports <strong>in</strong> this issue on removal <strong>of</strong> part <strong>of</strong> thelower jaw; removal <strong>of</strong> the jaw and extirpation <strong>of</strong> the parotid gland; cure <strong>of</strong>nevus by the use <strong>of</strong> collodion and ligature excision. For this latter conditionthe use <strong>of</strong> caustic, seton,<strong>in</strong>jection and ligature <strong>of</strong> arteries was alsoconsidered. A unique treatment for sp<strong>in</strong>a bifida was presented, consist<strong>in</strong>g<strong>of</strong> <strong>in</strong>jection <strong>of</strong> a solution <strong>of</strong> 5 gra<strong>in</strong>s <strong>of</strong> iod<strong>in</strong>e and 15 gra<strong>in</strong>s <strong>of</strong> potassiumiodide <strong>in</strong> 1 ounce <strong>of</strong> water.1861-1865As might be expected, the experience <strong>of</strong> the surgeons dur<strong>in</strong>g the CivilWar was reflected <strong>in</strong> the literature. The Report on Surgery at the 1861Annual Meet<strong>in</strong>g was ma<strong>in</strong>ly concerned with military surgery; for example,50 wounds <strong>of</strong> the head were summarized and, <strong>of</strong> these, 9 <strong>in</strong>volved the face;5 patients recovered, 1 died and 3 were <strong>in</strong> "a doubtful state."1866Plastic operations were recorded as a "method <strong>of</strong> treatment" on the eye,lip and nose.1869Dr. Moses Gunn <strong>of</strong> Chicago reported on staphylorrhaphy.1871A pioneer <strong>in</strong> the field <strong>of</strong> plastic surgery was the well known Dr. DavidPr<strong>in</strong>ce who edited a "Report on Plastic and Orthopedic Surgery," deal<strong>in</strong>gwith "flaps for transplantation from one part to another" and "the avoidance<strong>of</strong> cutaneous ulceration." He stated: "Dr. David Page, <strong>of</strong> Ed<strong>in</strong>burghhas experimented by shav<strong>in</strong>g <strong>of</strong>f, by means <strong>of</strong> a bistoury or razor, th<strong>in</strong>layers <strong>of</strong> cuticle, superficial to the true sk<strong>in</strong>, and brush<strong>in</strong>g them from theblade <strong>of</strong> the knife upon the granular surface. A strip <strong>of</strong> adhesive plaster islaid over the cells thus transplanted." (See p. 170.)1880Dr. William Hill <strong>of</strong> Bloom<strong>in</strong>gton discussed rodent ulcer and "EpitheliumCancer," and cited the scrap<strong>in</strong>g procedure first done by Volkmann. Hedescribed three cases <strong>of</strong> his own, us<strong>in</strong>g the Volkmann method on rodentulcer <strong>of</strong> the lips.

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